Individual
DR. MATTHEW JAMES SULLIVAN
Active
Individual
DR. MATTHEW JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS017229
PA
207R00000X
Internal Medicine Physician
OT015008
PA
207RG0100X
Gastroenterology Physician
Primary
OT015008
PA
Other
Enumeration date
05/13/2013
Last updated
05/26/2021
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